Medical Residency & Education



Garth Brand, M.D. 
Residency Program Director


Welcome to the Montana Family Medicine Residency!  We want to share our opportunities for advancing your medical education. MFMR was founded to address the shortage of family physicians in rural areas and among underserved populations. We’re proud to have 58% of our graduates still practicing in Montana.

Community Health Center Focus

MFMR was one of the first residencies structured within a Community Health Center, and one of the first 11 Teaching Health Centers. Practicing in a Community Health Center has several advantages. Residents learn to care for high-needs patients who have limited resources and limited access to care. They learn to treat patients in the full spectrum of their illness and social milieu while using resources wisely. In 2017, the residency received the DeWitt C. Baldwin Jr. Award, one of three awarded nationally in recognition of humanism in medical education. The National Committee for Quality Assurance recognized RiverStone Health as a Patient-Centered Medical Home. Behavioral health consultants, care managers and pharmacists are integrated into clinical care teams, helping residents understand the options and resources needed for patient care. Our graduates are comfortable with a wide range of practice choices including underserved urban, rural and frontier communities in both outpatient and hospital settings.

What sets MFMR apart? 

We are based in Billings, Montana’s main medical hub. Our two hospitals, Billings Clinic and St. Vincent Healthcare, provide specialty care to an area larger than the entire northeastern United States. Hospital specialists interact daily with providers in rural communities and know the experiences residents need to practice in medically austere environments.  Working in these systems gives our residents an excellent opportunity to learn from and develop relationships with specialists that they will be working with as rural healthcare providers in the future.  We are proud to support the rural training track collaborative which helps share ideas about excellence in rural education.

Many of our residents are drawn to Billings by its proximity to great outdoor adventures — fishing in pristine trout streams, climbing the state’s highest peaks, mountain biking, skiing and camping.  Billings’ stable economy offers employment opportunities for spouses, good public and private schools, two colleges and vibrant entertainment venues. Housing is affordable, enabling many residents to purchase their first homes here.

Montana is known as “the last best place”. We hope you will come live and learn with us in Montana. Welcome to Montana’s first medical residency!

Garth Brand, MD | Program Director

Montana Family Medicine Residency

Assistant Clinical Professor, University of Washington Department of Family Medicine